Supports the UM Specialist (RN) by handling all administrative and technical functions of the authorization processes including intake, logging, tracking and status follow-up.

Collects information required by clinical staff to render decisions.

Assists Manager and Director of Department in meeting regulatory timelines by maintaining and preparing accurate authorizations and expediently and accurately troubleshooting CBAS issues as they arise in a timely manner.

Performs data entry and processing of referrals/authorizations in the database, authorizes request consistent with auto criteria, maintains confidentiality when communicating member information, and preparing template letters for members and providers.

Assists with training of new staff and developing and implementing policies and procedures.

Works with Provider Network Operations, Claims, and Member Services Departments, Community-Based Adult Services Centers, and L.A.

Care members regarding the education of Community-Based Adult Services policies and procedures and problem resolution.

Contacted physician offices according to Department guidelines to request missing information from authorization requests or for additional information as requested by the Medical Director and notified UM Nurses and Medical Director of potential CCS cases as well as logged, tracked, and followed-up on CCS cases.

Maintained confidentiality of all Patients Health Information (PHI), performed required clerical support duties, professionally interacted with patient's while acting as a liaison between the Provider Relations, Claims, and Member Services.